显微镜辅助下颈前路椎间盘切除植骨融合术治疗脊髓型颈椎病的效果分析  

Analysis of the Efficacy of Microscope-assisted Anterior Cervical Discectomy and Bone Graft Fusion for Cervical Spondylosis Myelopathy

作　　者：林曦[1] 尹晓明[1] 林飞跃[1] 徐杨[1] LIN Xi;YIN Xiaoming;LIN Feiyue;XU Yang(Fujian Provincial Hospital,Fuzhou 350000,China;不详)

机构地区：[1]福建省立医院,福建福州350000

出　　处：《中外医学研究》2020年第21期9-11,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：福建省科技青年创新项目(2019J05134);福建省卫生计生中青年骨干人才培养项目(2017-ZQN-23)。

摘　　要：目的:对比使用显微镜和不使用显微镜对颈前路椎间盘切除植骨融合术(ACDF)治疗脊髓型颈椎病临床效果的影响。方法:回顾性分析2015年12月-2017年12月笔者所在医院诊断为单节段脊髓型颈椎病的63例患者,根据患者是否在显微镜辅助下实施ACDF分为显微镜组(32例)及普通组(31例)。比较两组术中失血量、术后引流量、手术时间、术后疼痛视觉模拟评分(VAS)和颈椎功能障碍指数(NDI)及术后并发症等指标。结果:显微镜组手术时间短于普通组,术中出血量和术后引流量均低于普通组,差异均有统计学意义(P<0.05)。两组并发症发生率比较差异无统计学意义(P>0.05)。两组患者术后3个月VAS和NDI评分比较差异无统计学意义(P>0.05)。结论:显微镜辅助下行ACDF可明显缩短手术时间,减少出血,值得临床推广。Objective:To compare the clinical effects of anterior cervical discectomy and bone graft fusion(ACDF)in the treatment of cervical spondylotic myelopathy with and without microscope.Method:A retrospective analysis was performed on 63 patients diagnosed with single-stage cervical myelopathy in our hospital from December 2015 to December 2017,patients were divided into the microscope group(32 cases)and the normal group(31 cases)according to whether ACDF was implemented under microscope or not.The intraoperative blood loss,postoperative drainage volume,operation time,visual analogue Scale(VAS)score,neck disability index(NDI)and postoperative complications were compared between the two groups.Result:The operation time in the microscope group was shorter than that in the normal group,the intraoperative blood loss and postoperative drainage volume were lower than that in the normal group,the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).There was no significant difference in VAS and NDI scores between the two groups 3 months after surgery(P>0.05).Conclusion:Microscope-assisted ACDF can significantly reduce the operation time and reduce bleeding,which is worthy of clinical promotion.

关 键 词：显微镜 前路椎间盘切除植骨融合术 脊髓型颈椎病 单节段 临床疗效 

分 类 号：R687.3[医药卫生—骨科学]